Kidney: Relations Flashcards

1
Q

Posterior

A
  1. The same for both kidneys
  2. Each related to 4 posterior abdominal wall muscles and 4 neurovascular structures in between:
    - Diaphragm (medial and lateral arcuate ligaments)
    - Psoas major
    - Transversus abdominis
    - Quadratus lumborum
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2
Q

Diaphragm

A

Behind kidney upper part separating it from pleura costodiaphragmatic recess and 11th and 12th ribs (on left side) or 12th rib only (on right side)

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3
Q

Psoas major

A

Related to vertical area close to kidney medial border

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4
Q

Transversus abdominis

A

Related to vertical area close to kidney lateral border

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5
Q

Quadratus lumborum

A

Related to intermediate vertical area between Psoas major and transversus abdominis

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6
Q

4 neurovascular structures intervene between kidney and latter 2 muscles (TA and QL)

A
  1. Subcostal vessels
  2. Subcostal nerve
  3. Iliohypogastric nerve
  4. Ilioinguinal nerve
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7
Q

Anterior and peritoneal relations

A

Right and left kidney

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8
Q

Right kidney: right Suprarenal gland

A

Related to upper medial part

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9
Q

Left kidney: left suprarenal gland

A

Related to upper medial part just above Hilum

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10
Q

Right kidney: duodenum 2nd part

A

Related to area close to Hilum

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11
Q

Right kidney: liver right lobe

A

Related to upper lateral part

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12
Q

Right kidney: loops of jejunum

A

Related to lower medial part

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13
Q

Right kidney: right colic flexure

A

Related to lower lateral part

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14
Q

Right kidney: ascending branch of right colic artery

A

Ascends in front of kidney lower end to reach right colic flexure

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15
Q

Right kidney: peritoneal relations

A
  1. Anterior surface covered by peritoneum at hepatic and Jejunal areas
  2. Areas for right Suprarenal, duodenum, and right colic flexure are not covered by peritoneum, these viscera lie in direct contact with kidney
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16
Q

Left kidney: body of pancreas and splenic vessels

A

Related to quadrilateral area at middle 1/3

17
Q

Left kidney: spleen

A

Related to upper lateral part

18
Q

Stomach

A

Related to triangular part, bounded by areas for pancreas, spleen, and Suprarenal gland

19
Q

Left kidney: loops of jejunum

A

Related to lower medial part

20
Q

Left kidney: end of transverse and beginning of descending colon

A

Related to lower lateral part

21
Q

Left kidney: ascending branch of superior left colic artery

A

Ascends in front of kidney lower end to reach left colic flexure

22
Q

Peritoneal relations

A
  1. Anterior surface covered by peritoneum at splenic, gastric, and Jejunal areas
  2. Areas for left Suprarenal, pancreas, and descending colon are not covered by peritoneum, these viscera lie in direct contact with kidney